Recurrent gastrointestinal bleeding after bowel perforation surgery in immunocompetent patients: invasive gastrointestinal mucormycosis: a case report

免疫功能正常患者肠穿孔手术后复发性胃肠道出血:侵袭性胃肠道毛霉菌病:病例报告

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Abstract

A 73-year-old man was hospitalized for intestinal perforation and underwent surgery. Subsequently, he experienced recurrent gastrointestinal bleeding. A second operation revealed invasive mucormycosis—a rare but severe fungal infection of the digestive tract. Typically treated with amphotericin B, mucormycosis often occurs in immunocompromised patients; however, this patient had no history of immunosuppressive therapy or known risk factors. In cases of gastrointestinal bleeding, performing biopsies and cultures during endoscopic examinations when ulcers are detected is recommended to ensure accurate diagnosis. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12879-025-11783-9.

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